Dr Kirk Shane Russell, MD - Medicare Diagnostic Radiology in Sanford, NC

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Dr Kirk Shane Russell, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Sanford, North Carolina. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice The Emory Clinic, Inc and his current practice location is 70 Blue Heron Ct, Sanford, North Carolina. You can reach out to his office (for appointments etc.) via phone at (718) 807-5166.

Dr Kirk Shane Russell is licensed to practice in North Carolina (license number 2014-02064) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912075631.

Contact Information

Dr Kirk Shane Russell, MD
70 Blue Heron Ct,
Sanford, NC 27332-6644
(718) 807-5166
(718) 807-5166

Map and Direction




Physician's Profile

Full NameDr Kirk Shane Russell
GenderMale
SpecialityDiagnostic Radiology
Experience23 Years
Location70 Blue Heron Ct, Sanford, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kirk Shane Russell graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1912075631
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 11/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860583937
  • Enrollment ID: I20230202000670

Medical Identifiers

Medical identifiers for Dr Kirk Shane Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912075631NPI-NPPES
1912075631MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 230324 (New York)Secondary
2085R0202XRadiology - Diagnostic Radiology 2014-02064 (North Carolina)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 2014-02064 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sisters Of Charity HospitalBuffalo, NYHospital
Emory Decatur HospitalDecatur, GAHospital
Mercy Hospital Of BuffaloBuffalo, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Emory Clinic, Inc88209014082729

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kirk Shane Russell allows following entities to bill medicare on his behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kirk Shane Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kirk Shane Russell, MD
3186 Village Dr, Suite 201,
Fayetteville, NC 28304-3978

Ph: (910) 486-5700		Dr Kirk Shane Russell, MD
70 Blue Heron Ct,
Sanford, NC 27332-6644

Ph: (718) 807-5166

Reviews and Comments


Radiology Doctors in Sanford, NC

Richard Berry Caswell Jr., MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1135 Carthage St, Central Carolina Hospital, Sanford, NC 27330
Phone: 919-777-7092    Fax: 919-774-2399
Travis T Henderson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1135 Carthage St, Central Carolina Radiology, Sanford, NC 27330
Phone: 919-777-7092    Fax: 919-774-2399
Dr. Sreejit Nair, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 821 S Horner Blvd, Sanford, NC 27330
Phone: 919-589-6968    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.